The Lapidus Procedure

Abstract

In 1934, Dr. Paul Lapidus described a procedure for correcting hallux valgus. It was first described as a fusion of the base of the first and second metatarsal and the medial cuneiform combined with distal soft tissue alignment.1 As with surgical procedures, it has been modified over the years, particularly with the advent of internal fixation. There are numerous benefits to performing the Lapidus procedure. The Lapidus procedure addresses hallux valgus at the apex of the deformity, increases the efficacy of the peroneal longus tendon, and stabilizes the medial longitudinal arch.